Individual
THOMAS CHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 S LOOP 256, PALESTINE, TX 75801-6901
(903) 723-8800
Mailing address
PO BOX 4550, PALESTINE, TX 75802-4550
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D3839
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110494504
—
TX
01
—
8F3360
ADDITIONAL MEDICARE
TX
Enumeration date
05/23/2005
Last updated
03/30/2010
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